Healthcare Provider Details

I. General information

NPI: 1033901947
Provider Name (Legal Business Name): DUFFOLOGY BEHAVIORAL INSIGHTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 LITTLE FOX LN
FLETCHER NC
28732-5632
US

IV. Provider business mailing address

107 LITTLE FOX LN
FLETCHER NC
28732-5632
US

V. Phone/Fax

Practice location:
  • Phone: 442-317-0084
  • Fax:
Mailing address:
  • Phone: 442-317-0084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code226000000X
TaxonomyRecreational Therapist Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW DUFFY
Title or Position: OWNER
Credential: BCBA, LBA
Phone: 442-317-0084